ANTERIOR COMPARTMENT:
Urinary bladder: Posterior dome 18 x 18 x 19 mm (CC x AP X TV) T2 dark thickening with
adjacent distortion obliterating the vesicouterine pouch, a few T1 hyperintense foci consistent with the urinary bladder deep infiltrating endometriosis.

No hydroureter.

MIDDLE COMPARTMENT:
Uterus: Anteverted retroflexed 60 mm in the midline. Morphology normal. Endometrium 5 mm thin and regular. Junctional zone thickening anteriorly 14 mm consistent with adenomyosis. No T2 or T1 hyperintensities. No myometrial lesion. Posterior uterine/torus 20 x 3 mm linear T2 dark thickening/distortion tethering the upper rectum and obliterating the Pouch of Douglas. Mobility: fixed.

Left ovary 45 mm, was 52 mm, unilocular T2 shaded cyst, not T1 bright. Wall thin and regular. No septa or solid part. Likely a resolving hemorrhagic corpus luteal follicle. Ipsilateral unilocular 10 mm and 7 mm T1 bright cysts, endometriomata. Contralateral 14 mm unilocular and 10 mm unilocular T1 bright cysts, endometriomata. Mobility fixed.

Bilateral salpingectomy, no residual tube seen.

POSTERIOR COMPARTMENT:
At the torus, and uterine fundus there is multi-focal superficial tethering of the rectosigmoid to the uterus. 

Superior to the urinary bladder is a 40 x 14 mm typical mushroom-shaped bowel endometriosis involving the sigmoid colon, best seen on coronal images. The surrounding bowel is distorted.

At the right adnexa, fixed to the right ovary is a 37 x 9 mm sigmoid bowel endometriosis.
An adjacent 30 mm segment of asymmetric sigmoid thickening may represent further bowel endometriosis.